Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.93 / $4,500.00 / $20,680.40	Facility		$863.93	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,817.25 / $13,486.75 / $21,602.23	Facility		$9,817.25	$13,486.75	$21,602.23
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $724.51 / $1,279.44 / $1,279.44	Facility	AS	$724.51	$1,279.44	$1,279.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $945.00 / $1,105.00	Facility		$883.20	$945.00	$1,105.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $702.75 / $1,357.56 / $5,167.68	Facility		$702.75	$1,357.56	$5,167.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $917.77 / $1,233.47 / $1,289.75	Facility		$917.77	$1,233.47	$1,289.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $855.26 / $855.26 / $879.73	Facility		$855.26	$855.26	$879.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,351.48 / $31,278.54	Facility		$10,603.20	$16,351.48	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00